Male pelvic health

Question 1

Pelvic floor muscles 3 important functions

Answer 1

• suppportive: maintain support of pelvic contents
• sphincteric: bowel and bladder control
• sexual: ejaculation, erection assistance

Question 2

Prostate Cancer

Answer 2

• 1 out of 6 men
• most frfequent cancer diagnosis in men
• 2nd leading cause of death in men

Question 3

prostate cancer 5 year survival rate

Answer 3

local stage - approaches 100 %
regional stage- approaches 100 %
distant stage 29%

-black males have 74% higher risk vs white males

Question 4

Prostate specific antigen test PSA

Answer 4

• detects blood levels of a protein made only by teh prostate cells
• readings : below 4 normal; between 4-10 slightly elevated; above 10- highly elevated (cancer likely)

Question 5

Gleason score

Answer 5

• 2-10 point scale rating the deformity of prostate calls after a biopsy has been taken
• higher score= incr speed of cancer growth

Question 6

Prostate cancer

Stage T1

Answer 6

• cannot be felt
• confined within prostate capsule
• usually found by chance

Question 7

Prostate cancer

stage T2

Answer 7

• can be felt with digital exam
• still confined
• no symptoms

Question 8

Prostate cancer

stage T3

Answer 8

• spread beyond capsule

- varied symptoms

Question 9

Prostate cancer

stage T4

Answer 9

• metastasis (lymph nodes,rectum, bones, liver)
• sudden weight loss
• difficult, painful urination
• low back pain

Question 10

Bladder cancer

Answer 10

• smokers account fro half of all cases in USA
• white men 2x more likely vs black men
• early detection imperative

Question 11

bladder cancer 5 year survival rate

Answer 11

• local stage - 70 %
• regional stage 35%
• distant stage- 5 %

Question 12

neobladder

bladder emptying education

Answer 12

• no bladder muscle to push urine out
• no sense of filling or fullness
• larger capacity than true bladder
• normal urinary cycle disrupted
• voiding on the clock 2-4hrs
• evacuation startegies

Question 13

schedule voiding

Answer 13

• prompting person to urinate at designate dtime
• usually every 2 hours
• mainatin dryness

Question 14

sensitivity to certain fluids causing pee

Answer 14

• caffeine
• cirtric acid/ juices
• carbonated drinks
• alcohol

Question 15

exercise progression for a 16 weeks program

Answer 15

• supine exercises first 4-6 weeks
• static sitting 3-4 weeks
• dynamic sitting exercises 3-4 weeks
• functional standing exercises 3-4 weeks

Question 16

exercise dosage

Answer 16

• focus is on neuromuscular re-education
• 2-10 second hold time
• 15-30 reps of each exercises
• 2-5 exercises per session based ph phase
• twice daily

Question 17

manual therapy

Answer 17

- soft tissue mobilization for soft tissue restrictions in associated muscle groups: 
external/internal regions treated 
- contrcat /relax
- dragging
-strumming
-static hold